San Francisco Adopts Early Treatment
This spring, San Francisco became the first U.S. city to adopt a policy of offering antiretroviral treatment to everyone who tests HIV positive, regardless of CD4 cell count. The policy was developed by clinicians with the Positive Health Program at San Francisco General Hospital (SFGH) and also applies to other facilities run by the San Francisco Department of Public Health (SFDPH). But the ultimate decision about starting ART remains with individual patients and their physicians, said outgoing SFDPH director Mitch Katz, who emphasized, "we don't dictate medical practice by policy."
The policy change is supported by a growing body of evidence indicating that early antiretroviral treatment can help prevent a variety of non-AIDS complications -- including cardiovascular disease, neurocognitive impairment and the appearance of faster aging -- that occur before CD4 cell counts fall into the danger zone forView Full Article
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